Paul M Petelin SR., MD

NPI #1124201819 in Scottsdale, Arizona

Provider Information

NPI Number: 1124201819
Entity Type: Individual
Name: Paul M Petelin SR., MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Dec 17, 2007
Last Updated: Nov 7, 2019

Practice Location

Address: 14275 N 87TH ST
Address 2: STE 110
City: Scottsdale
State: Arizona
ZIP Code: 85260-3696
Phone: (480) 905-8485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
Surgery	208600000X	Primary

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